Study of effectiveness of brief cognitive behavioral therapy for auditory hallucinations in schizophrenia (original) (raw)
Related papers
Journal of the American Psychiatric Nurses Association, 2002
BACKGROUND: Medication-resistant, persistent auditory hallucinations are pervasive in persons with schizophrenia. Behavior strategies are often very effective as adjunctive therapy to decrease the negative characteristics of this symptom. OBJECTIVES: The purpose of this multi-site intervention study was to examine the short-term effects of a 10-week course to teach behavior management of persistent auditory hallucinations on seven characteristics of auditory hallucinations (i.e., frequency, loudness, self-control, clarity, tone, distractibility, and distress), anxiety, and depression. STUDY DESIGN: A quasi-experimental repeated measured design was used. The sample included 62 outpatients with schizophrenia who reported daily persistent auditory hallucinations. Measures included the Characteristics of Auditory Hallucinations Questionnaire, the tension-anxiety subscale of the Profile of Mood States, and the Beck Depression Inventory II. RESULTS: Preintervention scores for the frequenc...
This single-case experiment evaluates the impact of an innovative rational-emotive cognitive treatment focused on hallucination and delusions on quality of life, depression, anxiety, and insight in a female patient suffering from schizophrenia. The cognitive treatment developed for this experiment was directly inspired by the work of Ellis and Chadwick, Birchwood, and Trower. The rational-emotive cognitive approach used in the present study effectively reduced the patient's anxiety and depression, increased the patient's overall quality of life and insight. The gains were maintained at 3-month, 6-month, and 12-month follow-up. Future investigations into treatments for psychosis should focus on patients' insight regarding the origin of their hallucinations. Further, the link between negative and positive psychotic symptoms should be explored.
EVALUATION OF COGNITIVE -BEHAVIOURAL INTERVENTION IN AUDITORY HALLUCINATIONS
2023
Hearing voices in the past was often identified with divine inspiration or demonic possession (Sarbin & Juhasz, 1967). With the prevalence of psychiatry in the late 19th century, hearing voices was interpreted as a medical phenomenon and in modern times it is one of the characteristics of psychosis. The term psychosis is a diagnostic umbrella term that includes various mental disorders such as schizophrenia, bipolar disorder, schizoaffective disorder and others. The experience of hearing voices, according to psychiatry, is one of the symptoms of the aforementioned mental disorders included in the diagnostic umbrella of psychosis, described by the term auditory hallucinations, and its study is useful primarily only at the diagnostic level. In countering the above argument, some researchers (Bentall, 2009; Read, Goodman, Morrison, Ross, & Aderhold, 2004) have assessed the in-depth study of individual experiences of psychosis, such as hearing voices, as particularly important in order to understand and design more effective therapeutic interventions tailored to the needs of individuals.
Effectiveness of a Brief Group Cognitive Behavioral Therapy for Auditory Verbal Hallucinations
The Journal of Nervous and Mental Disease, 2014
The current study investigated the effectiveness of a group cognitive behavioral therapy for auditory verbal hallucinations (AVHs), the Voices Group. This consists of seven specific sessions. Forty-one participants with schizophrenic or schizoaffective disorders completed a battery of questionnaires. The severity of psychiatric symptoms, beliefs about voices, quality of life, selfesteem, clinical global impression, and functioning were assessed at baseline, before and after intervention, and at the 6-month follow-up. After intervention, there was a statistically significant reduction in the severity of AVHs. This result remained stable at follow-up. The dropout rate was high. Some differences were found in subjective experience of AVHs between the patients who completed the intervention and those who dropped out. Altogether, these findings suggest that a brief intervention has some positive benefits in patients struggling with voices, which remain stable over time.
International Journal of Psychological Studies, 2012
This single-case experiment evaluates the impact of an innovative rational-emotive cognitive treatment focused on hallucination and delusions on quality of life, depression, anxiety, and insight in a female patient suffering from schizophrenia. The cognitive treatment developed for this experiment was directly inspired by the work of Ellis and Chadwick, Birchwood, and Trower. The rational-emotive cognitive approach used in the present study effectively reduced the patient's anxiety and depression, increased the patient's overall quality of life and insight. The gains were maintained at 3-month, 6-month, and 12-month follow-up. Future investigations into treatments for psychosis should focus on patients' insight regarding the origin of their hallucinations. Further, the link between negative and positive psychotic symptoms should be explored.
Schizophrenia bulletin, 2014
Hallucinations Research considers the current status and future directions in research on psychological therapies targeting auditory hallucinations (hearing voices). Therapy approaches have evolved from behavioral and copingfocused interventions, through formulation-driven interventions using methods from cognitive therapy, to a number of contemporary developments. Recent developments include the application of acceptance-and mindfulness-based approaches, and consolidation of methods for working with connections between voices and views of self, others, relationships and personal history. In this article, we discuss the development of therapies for voices and review the empirical findings. This review shows that psychological therapies are broadly effective for people with positive symptoms, but that more research is required to understand the specific application of therapies to voices. Six key research directions are identified: (1) moving beyond the focus on overall efficacy to understand specific therapeutic processes targeting voices, (2) better targeting psychological processes associated with voices such as trauma, cognitive mechanisms, and personal recovery, (3) more focused measurement of the intended outcomes of therapy, (4) understanding individual differences among voice hearers, (5) extending beyond a focus on voices and schizophrenia into other populations and sensory modalities, and (6) shaping interventions for service implementation.
Behavioural and Cognitive Psychotherapy, 2011
Background: Cognitive behavioural therapy has been established as an effective treatment for residual psychotic symptoms but a substantial proportion of people do not benefit from this treatment. There has been little direct study of predictors of outcome, particularly in treatment targeting auditory hallucinations. Method: The Psychotic Symptom Rating Scales (PSYRATS) and Positive and Negative Syndrome Scale (PANSS) were administered pre-and post-therapy to 33 people with schizophrenia-related disorders receiving CBT for auditory hallucinations in a specialist clinic. Outcome was compared with pre-therapy measures of insight, beliefs about the origin of hallucinations, negative symptoms and cognitive disorganization. Results: There were significant improvements post-treatment on the PSYRATS and PANSS Positive and General Scales. Improvement on the PSYRATS was associated with lower levels of negative symptoms, but was unrelated to overall insight, delusional conviction regarding the origins of hallucinations, or levels of cognitive disorganization. Conclusions: Lack of insight and presence of formal thought disorder do not preclude effective cognitive-behavioural treatment of auditory hallucinations. There is a need to further understand why negative symptoms may present a barrier to therapy.
Türk psikiyatri dergisi = Turkish journal of psychiatry, 2011
The aim of this study was to prepare a group-based cognitive-behavioral therapy program for patients with schizophrenia and other psychotic disorders coping with auditory hallucinations, and to evaluate the effectiveness of the program. The study included 12 male inpatients aged between 18 and 55 years from the Manisa Mental Health and Illnesses Hospital that were diagnosed with schizophrenia or schizoaffective disorder according to DSM-IV diagnostic criteria (SCID-I). The inclusion criteria were the diagnosis of schizophrenia or schizoaffective disorder, at least 1 hospitalization, the presence of auditory hallucinations, and the absence of alcohol/drug abuse/dependence, organic deficit, and mental/physical disability. In all, 7 patients received routine care plus group CBT and 5 patients received routine care alone. The group treatment program was conducted for 9-10 sessions twice a week. The patients were assessed using SAPS, SANS, the Problem/Symptom Checklist, and the Knowledge...
Group treatment of auditory hallucinations. Exploratory study of effectiveness
The British Journal of Psychiatry, 1999
Cognitive-behavioural therapy has been shown to be effective in reducing psychotic symptoms, but few patients have access to these services. Group cognitive treatment may provide a less costly service with similar benefits. To explore the effectiveness of group cognitive-behavioural therapy on insight and symptoms, particularly auditory hallucinations. Twenty-one DSM-IV diagnosed patients with schizophrenia with treatment-resistant, distressing auditory hallucinations were referred to a group programme consisting of six sessions of cognitive treatment following a strict protocol which emphasised individual power and control as well as coping strategies. There were significant changes in all three main outcome measures following treatment; those changes were maintained at follow-up and were greater than changes over the waiting-list period. Specifically, there were changes in perceived power and distress as well as increases in the number and effectiveness of the coping strategies. Group treatment for auditory hallucinations needs further investigation but does look promising and may provide a less costly alternative to individual cognitive treatment.